TMT Tested Positive For Inducible Ischemia. What Do They Mean?

Hi, I m a 36 yrs old healthy (apparently) man working with power generating company. Recently I had go through a medical test as it was mandatory to buy a term insurance. The results of all the tests were normal except TMT. Weight 65 KG, Height 175 cm, BMI:21.2, Blood Pressure: (130-115)/(95-80), not taking any medicine, Never experienced any pain or discomfort while exercising, can go upto Heart rate of 190 bpm. Test Results: CBC & ESR: Normocytic & NORMOCHROMIC Picture. Biochemistry S. Cholesterol: 160 mg/dl, S. triglyceride: 95 mg/dl, H.D.L. Cholesterol:48 mg/dl, L.D.L. Cholesterol:93 mg/dl SGOT: 28 IU/L, SGPT: 30 IU/L, GGTP: 16 IU/L Total Proteins 7.6 mg/dl, S. Albumin 4.5 mg/dl, Globulin 3.1 mg/dl Alkaline Phosphatase: 148 IU/L Bilirubin: 0.6, direct 0.3, indirect 0.3 mg/dl S. Creatinine:0.8 mg/dl Blood Urea Nitrogen: 14 mg/dl Fasting Blood Sugar: 70 mg/dl HbA1c %: 4.8 % ECG: LVH (borderline), rest OK TMT Test: ECG during baseline, standing and hyper ventilation showed no significant ST-T change. There were significant ST/T changes seen in inferolateral leads during peak exercise and early recovery. No S3, S4 crepts noticed during exercise Final Impression: • Normal chronotropic and BP response seen • test is positive for inducible ischemia • Good exercise tolerance noted • No S3, S4 crepts seen during Exercise Note: My mother was having CAD and she was died due to the same at the age of 49. Considering the above facts, please tell me whether I need to take any medicine and additional tests are to be performed. Looking for your early response! Regards, Siddhartha Ghosh